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91st General Assembly · Funnel one-pager · Monday, November 9, 2026

HF 2641: Relating to the Medicaid home and community-based services elderly waiver program, including transition planning and assisted living services

Died when the session ended · The General Assembly adjourned on October 2, 2026. Bills that didn’t pass both chambers died.

What it does

This bill relates to the Medicaid home and community-based services elderly waiver program (elderly waiver), including transition planning and assisted living services. The bill directs the department of health and human services (HHS) to adopt rules to allow case managers and care coordination team members to work with a resident of a skilled nursing facility, family members of the resident, and other skilled nursing facility staff to initiate transition planning from the skilled nursing facility to the elderly waiver program prior to the discharge of the resident.

Sponsors

Health and Human Services committee

Cost

See the fiscal note

5 million. 4 million. Figure 1 shows the breakout of costs in FY 2027 to implement HF 2641. Figure 2 shows annual, ongoing costs for FY 2028.

Senate subcommittee · named March 4, 2026

  • Sen. Annette Sweeney (R) · annette.sweeney@legis.iowa.gov
  • Sen. Molly Donahue (D) · molly.donahue@legis.iowa.gov
  • Sen. Scott Webster (R) · scott.webster@legis.iowa.gov

Lobbying · 2 for, 0 against

For: Iowa Health Care Association; Iowa Speech Language Hearing Association

In plain words

  1. February 12, 2026Filed in the House and sent to the Health and Human Services committee · as HSB 739
  2. February 12, 2026House subcommittee named: Wilz, H., Bradley and Brown-Powers · as HSB 739
  3. February 17, 2026Approved by the House committee · as HSB 739
  4. February 17, 2026Committee vote: 21–0 · as HSB 739
  5. February 19, 2026Filed in the House
  6. February 19, 2026Approved by the House committee, and given a new number: HF 2641 · as HSB 739
  7. February 25, 2026Cost estimate (fiscal note) posted
  8. February 26, 2026Passed the House, 90–0
  9. March 2, 2026Arrived in the Senate
  10. March 4, 2026Senate subcommittee named: Sweeney, Donahue and Webster
  11. March 11, 2026Subcommittee recommended passing it
  12. March 19, 2026Approved by the Senate committee

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/91/HF2641